Healthcare Provider Details

I. General information

NPI: 1992656151
Provider Name (Legal Business Name): M. OKONIEWSKI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 N LOGAN ST
DENVER CO
80203-3114
US

IV. Provider business mailing address

825 N LOGAN ST
DENVER CO
80203-3114
US

V. Phone/Fax

Practice location:
  • Phone: 920-676-0994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MAGGIE J OKONIEWSKI
Title or Position: OWNER/ THERAPIST
Credential: LCSW
Phone: 920-676-0994